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Home My WebLink About05-4155 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 4155 Permit Number: 4155 Permit Type: RE-ROOF Class of Work: ROOF REPLACEMENT Proposed Use: SINGLE FAMILY RESIDENTIAL Square Feet: Est. Value: Improv. Cost: 1,200.00 Date Issued: 4/27/2005 Total Fees: 40.00 Amount Paid: 40,00 Date Paid: 4/27/2005 Work Desc: RE-ROOF Address: 5332 TAN ERINE DR ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: Name: ROBERT SUMNER JR Address: 5332 TANGERINE DR ZEPHYRHILLS, FL. 33542 Phone: REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Thirty-Five Dollars ($35.00) shall be made for each trip for each trade: (a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when inspection called (d) Work not ready for inspection when called (e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible The payment of inspection fees shall be made before any further permits will be issued to the person owning same "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your property. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement." Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances NO OCCUPANCY BEFORE C.O. ~~~ ~~ CO TRACTOR SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF Z~!:'t1:t~n.J.L1.L1U ......----- BUILDING DEPARTMENT 5335 8TH at, Zephyrhi11s, FL 33542 813-780-0020 FAX:813-780-0021 DATE RECEIVED PHONE CONTACT FOR PERMITTING OWNER' s NAf'.i~ ~<G\D\-~ . :=:-,<..,U,-::li..Q..,\J. 2J \2... ' JOBADDRESS,~3,d \r.VY'\rd'L\I'~~. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PHONE f;r3~S9/-0v;;foJ ~ IOBTATN FROM PROPERTY TAX NOTICE) o SIGN o MOVE OALTERATION o DEMOLISH o REPAIR o INSTALL PARCEL ID # WORK PROPSED: ONEW CONSTRUCTION o ADDITION PROPOSED USE: OSGL FAMILY DWELLING o COMMERCIAL OMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HO~ o OTHER RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. c=J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL ~~~ } X ~'b DESCRIPTION OF WORK BUILDING SIZE SQUARE FOOTAGE HEIGHT PERMITS REQUESTED o BUILDING $ ~dCD 0'0 VALUATION OF TOTAL CONSTRUCTION o I~LECTRICAL o PLUMBING o i'1ECHANICAL AMP SERVICE o Progress Energy 0 W.R.E.C. $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES 0 NO BUILDER. COMPANY EiIGNATURE,4/~ X. L~TATE CERT OR REGIST # ****************************************************************** COMPANY ELECTRICIAN SIGNATURE STATE CERT OR REGIST # ****************************************************************** COMPANY PLUMBER SIGNATURE STATE CERT OR REGIST # ****************************************************************** COMPANY MECHANICAL SIGNATURE STATE CERT OR REGIST # ***************************************************************** OTHER COMPANY SIGNATURE STATE CERT OR REGIST # A. NOTIGE OF DEED RESTRICTIONS Th~ undersigned understands that this permit may be subject to ~deed restrictions" which may be more restrictive. than City regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, . they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may. be cited for a misdemeanor violation under state law. If the dwner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the City of Zephyrhi11s Building Department, 813-780-0020. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign po~tions of the "Contractor Sections" of this application for which they will be responsible. If you, as the owner signs as the contractor, ydu are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that may be an indica~i6n that he is not properly licensed and is not entitled to permitting privileges in the City of Zephyrhills. C.. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, haye been provided with a copy.of ~Florida's Construction lien Law - Homeowner's ,Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I have obtained a copy. of the above described document and promise in good faith to deliver it to the "owner" prior to commencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction; zoning, and land development. Appliqation is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be psrformed to meet standards of all laws regulating. construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: *Department of Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment *Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses *Army Corps of Engineers-SeawallS, Docks, Navigable Waterways *Department of Health & Rehabilitative Services, Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks *U.S. Environmental Protection Agency-Asbestos abatement . i also certify that, .if fill material is to be used in Flood Zone "A': or "A, etc:", it i~ understood that a drainage plan addressing a "compensating volume" w11~ be s~m1tted wh~ch is prepared by a professional engineer registered in the State of Flor1da pr10r to perm1t issuance. ' A permit issued shall.be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the techni~a1.codes, nor shall issuance of a permit prevent the Building Official from thereafter requ1ring a correction of errors in plans, construction, or violations of any code. Every permi~ , issued shall become invalid unless the work authorized by such pe~it is commenced w1th1n \ six months of issuance, or if work authorized by the permit is suspended or a~andoned.for.a eriod of six months after the time,the work is commenced. One 90 d~y extens10n of t1me ~a be allowed for the permit with fee charge of $15.00. The extens10n shall be requeste~ inYwriting to 'the Building Official. An approved inspection must be logged during each S1X month eriod or the project will be considered abandoned, . WARNIN~ TO O~NER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT .MAY RES~~~~~N~OU~ONSULT PAYING TWICE FOR IMPROVEMENTS 'TO YOUR PROPERTY'G ~~u~O~o~~~:NgFT~O~~:M~NT. JOBS UNDER WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORD IN . " $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT. SIGNATURE: CONTRACTOR SIGNATURE: OWNER OR AGENT acknowledged , 2<L- STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me. this day of by STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _ day of by acknowledged , 20_ (name of person acknowledged) Owho is personally known to me, .or (name of person acknowledged) C1ho is personally known to me, or o who has produced (type of identification) and wnoO did Odid not take an oath. o who has produced (type of identification) and who Odid Qjid not take an oath f person taking acknowledgment Signature 0 Signature of person taking acknowledgement Name typed, printed or stamped Name typed, printed or stamped